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1033873609
SYREETA L BLAKE
CLINTON, NC
NPI
1033873609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P016937)
Enumeration Date
2021-10-28
Last Update Date
2021-10-28
Business Address
SYREETA L BLAKE
100 LOOP ST
CLINTON, NC 28328-4062
Phone number: 919-596-2221
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Mailing Address
SYREETA L BLAKE
118 JACOBS RIDGE DR
GOLDSBORO, NC 27534-7395
Phone number: 850-621-0051
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